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Individual

DR. CAROLYN M. GENNA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
AUD, FAAA

Contact information

Practice address
99 HILLSIDE AVE, STE 99H, WILLISTON PARK, NY 11596-2333
(516) 873-9742
(516) 873-9861
Mailing address
99 HILLSIDE AVE, STE 99H, WILLISTON PARK, NY 11596-2333
(516) 873-9742
(516) 873-9861

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
001105
NY
237600000X
Audiologist-Hearing Aid Fitter
001105
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01749724
NY
01
113327198
TAXID/PROV# FOR HMO'S
NY
Enumeration date
06/14/2005
Last updated
08/05/2008
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